NPI | 1457823940 |
---|---|
Doing Business As | DAYSPRING CLINIC - LOGAN |
Entity Type | Organization |
Authorized Contact | MARK BRIESACHER SVP Chief Phys Exec/Pres Im Group 801-442-3495 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2018-12-20 |
Last Update Date | 2019-06-13 |